Active NPI
Magdalena Marszalek
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1538293766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 217000111
- Practice address
- 1620 N la Salle Dr
Chicago, IL 60614-6005 - Phone
- (312) 943-3600
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Speech-Language Pathologist | 235Z00000X | 146010134 | IL | |
| Speech-Language Pathologist | 235Z00000X | 217000111 | IL | Primary |
Addresses
Primary practice location
1620 N la Salle Dr
Chicago, IL 60614-6005
Mailing address
1620 N la Salle Dr
Chicago, IL 60614-6005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103034 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146010134 | IL | MD | Speech-Language Pathologist |
| 217000111 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Early LTD | Developmental Therapist | Current | Accepting new patients |
| Edulogos LTD | Developmental Therapist | Current | Accepting new patients |
| Through a Child'S Eyes | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Elk Grove Village, IL
- NPI 1588533772
Developmental Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1538293766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N LA SALLE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 N LA SALLE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146005",
"telephone_number": "312-943-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSZALEK",
"first_name": "MAGDALENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146010134",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "217000111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103034",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.